Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PY6380 | FL |
Y | 103T00000X | Psychologist | PY6380 | FL |
NPI | 1013108083 |
---|---|
Provider Name | Erica L. Hill |
First Address | Ft Lauderdale, FL 33304-1433 |
Second Address | Ft Lauderdale, FL 33304-1433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2007 |
Last Update Date | 11/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
54811 | BLUE CROSS BLUE SHIELD (01) | FL |